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[临床实践中的厄贝沙坦]

[Irbesartan in clinical practice].

作者信息

Malishevskiĭ M V

出版信息

Kardiologiia. 2012;52(11):66-74.

PMID:23237398
Abstract

Irbesartan is a noncompetitive angiotensin II receptor type 1 antagonist which has been successfully used for more than 10 years for the treatment of hypertensive disease. In a dose of 150-300 mg/day irbesartan produces long term effect for 24 hours. Its antihypertensive efficacy is augmented by concomitant administration of hydrochlorothiazide. Irbesartan reduces left ventricular hypertrophy and increases probability of maintenance of sinus rhythm after cardioversion of atrial fibrillation. Renoprotective effects of irbesartan has been demonstrated both at early and late stages of kidney involvement in patients with type 2 diabetes. Therapeutic efficacy and safety of irbesartan ensure high level of patients compliance. Irbesartan as monotherapy or as combination with hydrochlorothiazide demonstrate contemporary therapeutic approach to arterial hypertension as well as to diabetic nephropathy both at its early and late stages.

摘要

厄贝沙坦是一种非竞争性的1型血管紧张素II受体拮抗剂,已成功用于治疗高血压疾病10多年。每日剂量为150 - 300毫克时,厄贝沙坦可产生长达24小时的长期疗效。同时服用氢氯噻嗪可增强其降压效果。厄贝沙坦可减轻左心室肥厚,并增加心房颤动复律后维持窦性心律的概率。在2型糖尿病患者肾脏受累的早期和晚期,均已证实厄贝沙坦具有肾脏保护作用。厄贝沙坦的治疗效果和安全性确保了患者的高依从性。厄贝沙坦单药治疗或与氢氯噻嗪联合使用,在动脉高血压以及糖尿病肾病的早期和晚期,均展现了当代的治疗方法。

相似文献

1
[Irbesartan in clinical practice].[临床实践中的厄贝沙坦]
Kardiologiia. 2012;52(11):66-74.
2
Irbesartan and hydrochlorothiazide association in the treatment of hypertension.厄贝沙坦与氢氯噻嗪联合治疗高血压
Curr Vasc Pharmacol. 2009 Apr;7(2):120-36. doi: 10.2174/157016109787455644.
3
[Observational study of blood pressure control and microalbuminuria in type 2 diabetics on irbesartan or irbesartan/HCTZ].厄贝沙坦或厄贝沙坦/氢氯噻嗪治疗2型糖尿病患者血压控制及微量白蛋白尿的观察性研究
MMW Fortschr Med. 2005 Oct 6;147 Suppl 3:97-101.
4
Safety and tolerability of fixed-dose irbesartan/hydrochlorothiazide for rapid control of severe hypertension.固定剂量厄贝沙坦/氢氯噻嗪快速控制重度高血压的安全性和耐受性。
Clin Exp Hypertens. 2009 Oct;31(7):572-84. doi: 10.3109/10641960902929420.
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Clinical overview of irbesartan: expanding the therapeutic window in hypertension.厄贝沙坦临床概述:拓展高血压治疗窗口
J Hypertens Suppl. 1997 Dec;15(7):S27-33.
6
I-ADD study: assessment of efficacy and safety profile of irbesartan/amlodipine fixed-dose combination therapy compared with irbesartan monotherapy in hypertensive patients uncontrolled with irbesartan 150 mg monotherapy: a multicenter, phase III, prospective, randomized, open-label with blinded-end point evaluation study.I-ADD 研究:评估在无法用厄贝沙坦 150mg 单药治疗控制的高血压患者中,与厄贝沙坦单药治疗相比,厄贝沙坦/氨氯地平固定剂量联合治疗的疗效和安全性:一项多中心、III 期、前瞻性、随机、开放标签、以盲终点评估的研究。
Clin Ther. 2012 Aug;34(8):1720-34.e3. doi: 10.1016/j.clinthera.2012.07.001. Epub 2012 Jul 30.
7
Irbesartan: a review of its use in hypertension and in the management of diabetic nephropathy.厄贝沙坦:其在高血压及糖尿病肾病管理中的应用综述
Drugs. 2004;64(9):999-1028. doi: 10.2165/00003495-200464090-00011.
8
The effect of irbesartan on the development of diabetic nephropathy in patients with type 2 diabetes.厄贝沙坦对2型糖尿病患者糖尿病肾病发展的影响。
N Engl J Med. 2001 Sep 20;345(12):870-8. doi: 10.1056/NEJMoa011489.
9
Aliskiren reduces blood pressure and suppresses plasma renin activity in combination with a thiazide diuretic, an angiotensin-converting enzyme inhibitor, or an angiotensin receptor blocker.阿利吉仑与噻嗪类利尿剂、血管紧张素转换酶抑制剂或血管紧张素受体阻滞剂联合使用时,可降低血压并抑制血浆肾素活性。
Hypertension. 2007 Feb;49(2):276-84. doi: 10.1161/01.HYP.0000253780.36691.4f. Epub 2006 Dec 11.
10
The efficacy and safety of low- and high-dose fixed combinations of irbesartan/hydrochlorothiazide in patients with uncontrolled systolic blood pressure on monotherapy: the INCLUSIVE trial.厄贝沙坦/氢氯噻嗪低剂量和高剂量固定复方制剂用于单药治疗后收缩压仍未控制的患者的疗效与安全性:INCLUSIVE试验
J Clin Hypertens (Greenwich). 2005 Oct;7(10):578-86. doi: 10.1111/j.1524-6175.2004.04720.x.

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Pharmacokinetic study on the interaction between succinic acid and irbesartan in rats and its potential mechanism.琥珀酸与厄贝沙坦在大鼠体内相互作用的药代动力学研究及其潜在机制。
Pharm Biol. 2021 Dec;59(1):1619-1622. doi: 10.1080/13880209.2021.2002370.
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Effects of irbesartan on phenotypic alterations in monocytes and the inflammatory status of hypertensive patients with left ventricular hypertrophy.厄贝沙坦对左室肥厚高血压患者单核细胞表型改变及炎症状态的影响。
BMC Cardiovasc Disord. 2021 Apr 20;21(1):194. doi: 10.1186/s12872-021-02004-7.
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Erzhi Formula Extracts Reverse Renal Injury in Diabetic Nephropathy Rats by Protecting the Renal Podocytes.
二至丸提取物通过保护肾足细胞逆转糖尿病肾病大鼠的肾损伤。
Evid Based Complement Alternat Med. 2018 Aug 23;2018:1741924. doi: 10.1155/2018/1741924. eCollection 2018.